Endoscopic ultrasound-guided placement of plastic vs. biflanged metal stents for therapy of walled-off necrosis: a retrospective single-center series

Mukai, Shuntaro; Itoi, Takao; Baron, Todd H.; Sofuni, Atsushi; Itokawa, Fumihide; Kurihara, Toshio; Tsuchiya, Takayoshi; Ishii, Kentaro; Tsuji, Shujiro; Ikeuchi, Nobuhito; Tanaka, Reina; Umeda, Junko; Tonozuka, Ryosuke; Honjo, Megumi; Gotoda, Takuji; Moriyasu, Fuminori; Yasuda, Ichiro

doi:10.1055/s-0034-1377966

Cited by 102 publications

(160 citation statements)

References 16 publications

Supporting

Mentioning

153

Contrasting

Unclassified

Order By: Relevance

“…Differences in treatment outcomes between the two studies may be explained by the significant heterogeneity in the data as a result of inclusion of unmatched patients in the previous study and the type of metal endoprostheses that were used. Although it is logical to assume that larger‐caliber metal stents will provide better drainage of necrotic contents and improve treatment outcomes, as with pseudocysts, we did not observe any difference, which is in line with a systematic review that demonstrated pooled treatment success rates of 70% and 78% (no significant difference) for the plastic and metal stent cohorts, respectively, as well as a recently published comparative study …”

Section: Discussionsupporting

confidence: 90%

Lumen‐apposing metal stents for drainage of pancreatic fluid collections: When and for whom?

Bang

Hasan

Navaneethan

et al. 2016

Digestive Endoscopy

126

134

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 90%

Lumen‐apposing metal stents for drainage of pancreatic fluid collections: When and for whom?

Bang

Hasan

Navaneethan

et al. 2016

Digestive Endoscopy

126

134

View full text Add to dashboard Cite

show abstract

“…This higher initial cost may be offset by shorter procedure times, but direct studies comparing LAMS and DPS overall costs for PFC are limited. 16,29 …”

Section: Discussionmentioning

confidence: 99%

Increased Incidence of Pseudoaneurysm Bleeding With Lumen-Apposing Metal Stents Compared to Double-Pigtail Plastic Stents in Patients With Peripancreatic Fluid Collections

Brimhall

Han

Tatman

et al. 2018

Clinical Gastroenterology and Hepatology

132

120

View full text Add to dashboard Cite

In a retrospective study of patients undergoing drainage of pancreatic pseudocysts or walled-off necrosis, we found LAMS and DPS to have comparable rates of technical and clinical success and adverse events. Drainage of walled-off necrosis or pancreatic pseudocysts using DPS was associated with fewer bleeding events overall, including pseudoaneurysm bleeding, but bleeding risk with LAMS should be weighed against the trend of higher actionable perforation and infection rates with DPS.

show abstract

“…Moreover, the studies using metal stents included small number of patients. More recent studies display excellent outcomes with less technical difficulty or procedure duration while using novel metal stents in PFCs[53,55]. This is especially important in sick patients and when there is high likelihood of re-intervention for debridement or necrosectomy.…”

Section: Choice Of Stent - Metal or Plasticmentioning

confidence: 99%

Endoscopic management of pancreatic fluid collections-revisited

Nabi

Basha

Reddy

2017

WJG

View full text Add to dashboard Cite

The development of pancreatic fluid collections (PFC) is one of the most common complications of acute severe pancreatitis. Most of the acute pancreatic fluid collections resolve and do not require endoscopic drainage. However, a substantial proportion of acute necrotic collections get walled off and may require drainage. Endoscopic drainage of PFC is now the preferred mode of drainage due to reduced morbidity and mortality as compared to surgical or percutaneous drainage. With the introduction of new metal stents, the efficiency of endoscopic drainage has improved and the task of direct endoscopic necrosectomy has become easier. The requirement of re-intervention is less with new metal stents as compared to plastic stents. However, endoscopic drainage is not free of adverse events. Severe complications including bleeding, perforation, sepsis and embolism have been described with endoscopic approach to PFC. Therefore, the endoscopic management of PFC is a multidisciplinary affair and involves interventional radiologists as well as GI surgeons to deal with unplanned adverse events and failures. In this review we discuss the recent advances and controversies in the endoscopic management of PFC.

show abstract

Endoscopic ultrasound-guided placement of plastic vs. biflanged metal stents for therapy of walled-off necrosis: a retrospective single-center series

Abstract: Plastic stents and BFMS were safe and effective for the treatment of WON. In particular,BFMS placement appeared to be preferable for initial EUS-guided drainage and additional reintervention(e.g. DEN) as it reduced the procedure time. Prospective randomized controlled trials are warranted.

Cited by 102 publications

References 16 publications

Lumen‐apposing metal stents for drainage of pancreatic fluid collections: When and for whom?

Lumen‐apposing metal stents for drainage of pancreatic fluid collections: When and for whom?

Increased Incidence of Pseudoaneurysm Bleeding With Lumen-Apposing Metal Stents Compared to Double-Pigtail Plastic Stents in Patients With Peripancreatic Fluid Collections

Endoscopic management of pancreatic fluid collections-revisited

Contact Info

Product

Resources

About